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3c Waste a BFI Acint . No- 1009042 No 906029 <br /> Systems TM <br /> WNING-FERRIS INDUSTRIES NON-HAZARDOUS SPECIAL WASTE MANIFEST <br /> GENERATOR <br /> mid Cal Leasing 1649 F _ Channel St <br /> enerator Name Generating Location <br /> cess <br /> 0 Box 55103 Address Stockton , Ga <br /> Stnck< :on , Ca 95205 <br /> Ine No ti 9 — 4 6 3 5 LO 9 Phone No <br /> Waste Code C A 4 0 3 1 8 3 7 4 Containers Type <br />' Description of Waste Quanh y Units No Type D- Drum <br /> Elm C-Carton <br /> Contarrn-inated Soil FT Fi ! 8 I�_1 1 B - Bag <br />' T -Truck <br /> ❑ ❑ P - Pounds <br /> Y - Yards <br /> Elm ❑ O- Other <br /> I hereby certify that the above named material does not contain free liquid as defined by 40 CFR Part 260 10 or any applicable <br /> state law, is not a hazardous waste as deft di Iby 4p R Part 261 or any a livable state law, has been properly described, <br /> Eclassified and packaged, and is tri proper condon far tra portattori ordln o applicable regulations <br /> <nndld K . Rinehart: <br /> orator Authorized Agent Name Signature Shipment Date <br /> A • <br /> lick No r Phone No 9 1 6 66B-9316 <br /> ansporter Name M P Env i r cn nie n t a 1 Se r v i , e:- Driver Name (Print) + <br /> Less 3400 Manor, Stt,eet Vehicle License No/State � � � C,Z-� <br /> 3 d 1~e r s f i e l d Ca , 93308 Vehicle Certification <br /> L <br /> reby certify that the above named material was picked up I hereby certify that the above named material was delivered with- <br /> the +enerator site listed bova f out incident to the destination listed Blow <br /> FC/ -,P, b, I !�jf <br /> aver Signature Shipment Date r ,i a ure Delivery Date <br /> DESTINATION <br /> fw <br /> e Name `fiasco Read Sanitary Landfill Phone No �TL f�- 41 1 0 J IF] <br /> dress 4001 Vasco Road , L7 vet,nic re , Ca 94 550 <br /> lereby certify that the above named material has been accepted and to the best of my nowll ge the foregoing is true and accurate <br /> �r'_x <br /> �uthunzed A ent Signature Ito J <br /> PASS CODE <br /> 16 � e OF1260 720 <br /> UNLOADING AREA COPY <br />